All citations for Willow Haven Health and Rehab, LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Willow Haven Health and Rehab, LLC

Last standard health inspection on record

August 1, 2025

Showing 1 to 25 of 90 citations

Harm to a resident
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Isolated (one or a few residents). CMS level G.
Health citation F-0627, Resident Rights Deficiencies. Inspection of March 24, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 14, 2026).
Harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level G.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 11, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (January 2, 2026).
No harm, with potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Widespread (many residents). CMS level F.
Health citation F-0921, Environmental Deficiencies. Inspection of December 11, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (January 2, 2026).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 19, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 19, 2023).
No harm, with potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Widespread (many residents). CMS level F.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of June 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 27, 2022).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 1, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (January 6, 2020).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of November 1, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2020).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
Pattern (more than a few residents). CMS level E.
Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 19, 2023).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Pattern (more than a few residents). CMS level E.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 19, 2023).
No harm, with potential for more than minimal harm
Establish policies and procedures including evacuation.
Pattern (more than a few residents). CMS level E.
Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 19, 2023).
No harm, with potential for more than minimal harm
Establish policies and procedures for volunteers.
Pattern (more than a few residents). CMS level E.
Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 19, 2023).
No harm, with potential for more than minimal harm
Develop a communication plan.
Pattern (more than a few residents). CMS level E.
Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 19, 2023).
No harm, with potential for more than minimal harm
Establish staff and initial training requirements.
Pattern (more than a few residents). CMS level E.
Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 19, 2023).
No harm, with potential for more than minimal harm
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0232, Egress Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 19, 2023).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0291, Egress Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 19, 2023).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 19, 2023).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 19, 2023).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 19, 2023).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 19, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 19, 2023).
No harm, with potential for more than minimal harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Pattern (more than a few residents). CMS level E.
Health citation F-0565, Resident Rights Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 28, 2023).
No harm, with potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pattern (more than a few residents). CMS level E.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 31, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 28, 2023).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Pattern (more than a few residents). CMS level E.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of June 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 9, 2022).
No harm, with potential for more than minimal harm
Implement emergency and standby power systems.
Pattern (more than a few residents). CMS level E.
Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of June 21, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (September 9, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.